Permit Roof 1480 Linkside Dr 2012 � '� CITY OF ATLANTIC BEACH
H
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
~" INSPECTION PHONE LINE 247 -5814
JIj s)
Application Number 12- 00000251 Date 3
Property Address 1480 LINKSIDE DR /06/12
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 8000
Application desc
reroof
Owner Contractor
BRAZIL, THOMAS LANCE AFFORDABLE ROOFING
1480 LINKSIDE DRIVE 3859 PADDLEWHEEL DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
(904) 251 -4326
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee .00
Issue Date Valuation 8000
Expiration Date . . 9/02/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 47 - 17 - 2S - 29E
SELVA LINKSIDE UNIT 02
Address of property being improved: 1480 LINKSIDE DR
Atlantic Beach FL 32233
General description of improvements: re -roof
Owner BRAZIL T LANCE
Address 1480 LINKSIDE DR ATLANTIC BEACH, FL 32233
Owner's interest in site of the improvement 100%
Fee Simple Titleholder (if other than owner)
( 1 \J Name N/A
M1 Address
Contractor Vincent L. Marino CCCO57697 CGCO59465
Address 3859 Paddlewheel Drive Jacksonville, FL 32257
Phone No. 260 - 7663
Fax No. 260 -7663
Surety (if any) N/A
Address Amount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the c
Doc # 2012047470, OR BK 15869 Page 1059,
Name N/A Number Pages: 1
Recorded 03/06/2012 at 10:58 AM,
Address JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Phone No. RECORDING $10.00
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents may be served:
Name N/A
Address
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option).
Name N/A
Address
Phone No. Fax No.
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a
different date is specified): 90 days from date of recording
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: a £"_ DA -
Before me this • ay of ,�'�
County of Duval, tate of Florida, has • - f ` ► ", ''� - •
-- �. � � . X IAy Comm. u. Wm' CO 19, 2!1! commission • El '1611146
„(C4A,-:
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 1480 Linkside Dr, Atlantic Beach, FL 32233
Legal Description 47 - 85 17 2S - 29E SELVA LINKSIDE UNIT 02 Permit Parcel # Number:
172374 -6395
Floor Area of Sq. Ft. Sq.Ft
Valuation of Work $8,000.00 Proposed Work heated /cooled 1429 non - heated /cooled 433
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No
For multiple products use product approval form
Describe in detail the type of work to be performed: remove existing roof down to deck install new shingle roof.
Property Owner Information:
Name: Mr. Lance Brazil Address: 1480 Linkside Dr
City Atlantic Bch State FL Zip 32233 Phone 247 -1030
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Affordable Roofing Qualifying Agent: Vincent Marino
Address: 3859 Paddlewheel Drive City Jacksonville g State FL Zip 32257
Office Phone 260 -7663 Job Site/ Contact Number 449 -6339 Fax # 260 -7663
State Certification/Registration # CCCO57697 (roofing) CGCO59465 (GC)
Architect Name & Phone # N/A
Engineer's Name & Phone # N/A
Fee Simple Title Holder Name and Address N/A
Bonding Company Name and Address N/A
Mortgage Lender Name and Address N/A
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void tf work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six /6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO
YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ord . antes governing this
type of work will be complied with whether s ec: ied herein or not. The granting of a permit does not presume to give authority t zolate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner —) sr/S 8 Signature of Contractor \ ttyk4 k----,
Print Name Print Name Vincent Marino
Swo to and subs r'' ed bef re me this Sworn to . , d s a scribed before me this
Da y U a ' r ' • , 2012 6 Day fj
I �, li.. 0 ,,,L. , 2012
* DALE ALAN WITT 0 ' ' ° M. BERNARDI
.' 'M - 6hN pl tlf 1/l . _ • , my COMMISSION # DD87315
r -� Comm. E w . ±, • EXPIRES' March 31, 2013
�� Cj , fy��a�a �16 1.800 - NOTARY FI. Notary Discount Assoc . Co .
° ** di EE 14111646